Nanda Nursing Diagnosis

Risk for Infection related to the invasion of microorganisms in the body Goal : after the act of nursing for 3x24 hours of infection did not occur. Expected outcomes: Patients will show a careful hand-washing techniques. Patients will be free of the nosocomial infection during hospitalization. Patients will demonstrate knowledge of the risk factors associated with infection and appropriate precautions to prevent infection. Intervention - Risk for Infection : 1. Monitor for signs and symptoms of infection. R /: To determine whether there is an infectious process. 2. Monitor laboratory results, Monitor the patient's temperature. R /: Leukocyte increased and increased body temperature is not expected, a sign of infection. 3. Use antiseptic technique when taking action to clients. R /: Prevent cross-infection. 4. Emphasize the need to wash hands regularly / thoroughly before and when handling food, after toileting. R /: Many viruses such as cytomegalovirus (CMV) can be excreted in th...

Urethral stricture is more common in men than women, especially because of the difference in length of the urethra. (C. Long, Barbara; 1996 case 338) Urethral stricture causing disturbances in micturition, urinary flow ranging from shrinking until completely unable to drain urine out of the body. Urine can not get out of the body can lead to many complications, with the heaviest complication is kidney failure. Urethral stricture may occur: 1. Congenital Urethral stricture may occur separately or in conjunction with other urinary tract anomalies. 2. Learned. Urethral injury (due to the insertion of surgical equipment for transuretral surgery, indwelling catheters, or cystoscopy procedure). Injuries due to stretching. Injuries due to accidents. Urethritis gonorheal untreated. Muscle spasm. External pressure eg tumor growth. (C. Smeltzer, Suzanne;2002 hal 1468 dan C. Long , Barbara;1996 hal 338) 3. Postoperative Some operations on the urinary tract can cause urethral strictures, such as ...

Nursing Diagnosis for Nasopharyngeal Carcinoma : Risk for Infection Objectives: After nursing intervention, there were no risk factors for infection in the client, evidenced by adequate client imune status: free of symptoms of infection, normal leukocyte numbers (4-11000). Nursing Interventions:   Control of infection: 1. Clean up the environment after use for other patients. 2. Maintain isolation techniques. 3. Limit visitors when necessary. 4. Instruct family to wash their hands when contact and thereafter. 5. Use anti-microbial soap to wash hands. 6. Make hand washing before and after nursing actions. 7. Use clothes and gloves as a protective device. 8. Maintain aseptic environment during the installation of equipment. 9. Perform wound care and infusion dresing every day. 10. Increase the intake of nutrients. 11. Give antibiotics according to the program. Protection against infection 1. Monitor signs and symptoms of systemic and local infections. 2. Monitor granulocytes and WBC ...

Nursing Diagnosis Risk for infection - NCP Impetigo Nursing Diagnosis Risk for Infection related to decreased immune system, malnutrition, inflammation, and invasive procedures. Expected outcomes are: Clients are free from signs and symptoms of infection. Showed the ability to prevent infection. Demonstrate healthy behavior. Describe the process of transmission of the disease, factors that influence transmission. Nursing Interventions - Nursing Care Plan for Impetigo : Monitor for signs and symptoms of infection. Monitor susceptibility to infection. Limit the visitor when necessary. Instruct patient visitors to wash their hands during a visit and after leaving the patient. Maintain aseptic environment during ongoing treatment. Give skin care in the area epidema. Inspection of skin and mucous membrane of the redness, heat. Inspection of the condition of the wound. Give antibiotic therapy if necessary. Teach how to avoid infection.

Nursing Diagnosis Risk for Infection Nursing Care Plan Definition: At increased risk for being invaded by pathogenic organisms Related Factors: See Risk Factors. Risk Factors: Invasive procedures; insufficient knowledge regarding avoidance of exposure to pathogens; trauma; tissue destruction and increased environmental exposure; rupture of amniotic membranes; pharmaceutical agents (e.g., immunosuppressants); malnutrition; increased environmental exposure to pathogens; immunosuppression; inadequate acquired immunity; inadequate secondary defenses (e.g., decreased hemoglobin, leukopenia, suppressed inflammatory response); inadequate primary defenses (e.g., broken skin, traumatized tissue, decrease in ciliary action, stasis of body fluids, change in pH secretions, altered peristalsis); chronic disease. NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels Immune Status Knowledge: Infection Control Risk Control Risk Detection NIC Interventions (Nursing Interventions Classifi...

Nursing Care Plan for Risk for Infection when patient is at increased risk for being invaded by pathogenic organisms. Persons at risk for infection are those whose natural defense mechanisms are inadequate to protect them from the inevitable injuries and exposures that occur throughout the course of living. Infections occur when an organism (e.g., bacterium, virus, fungus, or other parasite) invades a susceptible host. Breaks in the integument, the body’s first line of defense, and/or the mucous membranes allow invasion by pathogens. If the host’s (patient’s) immune system cannot combat the invading organism adequately, an infection occurs. Open wounds, traumatic or surgical, can be sites for infection; soft tissues (cells, fat, muscle) and organs (kidneys, lungs) can also be sites for infection either after trauma, invasive procedures, or by invasion of pathogens carried through the bloodstream or lymphatic system. Infections can be transmitted, either by contact or through airborne t...